Distress experienced during pediatric VCUGs - a granular, prospective assessment using the brief behavioral distress scale.

Background: In spite of decades of experience with the procedure, controversy persists as to the overall distress experienced by children and the routine need for sedation in children undergoing voiding cystourethrograms (VCUG). Many studies have attempted to address these issues, often divided into one camp that champions routine sedation while another group believes that pretest preparation is often all that is needed. At the root of these issues are some of the limitations of previous studies as most incorporate inherently subjective parental questionnaires to determine distress levels rather than using an objective, unbiased observer.

Short-term outcomes of acute knee injuries: does the provider make a difference?

Objective: To compare the short-term outcomes of acute knee injuries treated by specialists and generalists.

Methods: Using patient logs, 168 adults with acute knee injuries were identified; 131 (78%) completed a questionnaire 3 months after initial presentation.

Results: The mean age of the 77 male and 54 female responders was 34.